Active NPI
Afreen S Pappa, MD
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J4415
- Practice address
- 2615 Southwest Fwy
Suite 220
Houston, TX 77098-4609 - Phone
- (713) 527-8731
- Fax
- (713) 527-8731
- NPI assigned
- Oct 17, 2006
- Last updated
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J4415 | TX | Primary |
Addresses
Primary practice location
2615 Southwest Fwy
Suite 220
Houston, TX 77098-4609
Mailing address
2001 Butterfield Rd
Suite 300
Downers Grove, IL 60515-1050
Phone (630) 725-2832
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340731 | Other | TX | GROUP MEDICARE PTAN |
| 340739 | Other | TX | GROUP MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4415 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovista Provider Group Texas PA | Family Medicine | Current | Accepting new patients |
Locations
12302 Jones Rd
Houston, TX 77070
Phone (713) 804-5965
12586 Westheimer Rd
Houston, TX 77077
Phone (713) 304-5963
18532 Kuykendahl Rd
Spring, TX 77379
Phone (713) 804-5960
Interoperability endpoints
- apappa25430@innovista.gardenplot.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Innovista Telemedicine Houston TX
- Family Medicine Physician
- Houston, TX
- NPI 1780231928
-
dba Innovista Mesquite
- Family Medicine Physician
- Mesquite, TX
- NPI 1881249365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1457431876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD",
"address_2": "SUITE 300",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151050",
"telephone_number": "630-725-2832",
"fax_number": "877-489-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 SOUTHWEST FWY",
"address_2": "SUITE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984609",
"telephone_number": "713-527-8731",
"fax_number": "713-527-8731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPA",
"first_name": "AFREEN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J4415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "340731",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "340739",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.